Individual
MARIE CHARLENE LOUISGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ARLMONT STREET, MILFORD, CT 06461
(203) 278-9143
Mailing address
25 ARLMONT ST, MILFORD, CT 06461-2903
(203) 892-7008
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
08/25/2017
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